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GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-06
IRS object ID
202031889349300928
Schema version
2018v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-06T13:02:41-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954557617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Harrington Group CPAs LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1234 East Colorado Blvd Suite M150AddressLine1Txt
CityPasadenaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953702136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QueensCare Health CentersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUEEBusinessNameControlTxt
Phone3236694305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBarbara B HinesPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone3236694305PhoneNum
Signature2020-07-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSean E Cain CPAPreparerPersonNm
PTINP01612986PTIN
Phone6264036801PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.133.35.227IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-06IPDt
IP Tm11:02:29IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0B4F3B71C2EC911E577D967EDC65E3E555B204ACAtSubmissionCreationDeviceId
At Submission Filing Device Id0B4F3B71C2EC911E577D967EDC65E3E555B204ACAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBarbara B HinesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,184,845GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.queenscarehealthcenters.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe Centers directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County, including the uninsured, indigent, elderly and children.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee309TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,035,160PYContributionsGrantsAmt
CY Contributions Grants$4,102,036CYContributionsGrantsAmt
PY Program Service Revenue$26,169,357PYProgramServiceRevenueAmt
CY Program Service Revenue$24,858,537CYProgramServiceRevenueAmt
PY Investment Income$172,215PYInvestmentIncomeAmt
CY Investment Income$363,300CYInvestmentIncomeAmt
PY Other Revenue$2,401,015PYOtherRevenueAmt
CY Other Revenue$860,972CYOtherRevenueAmt
PY Total Revenue$32,777,747PYTotalRevenueAmt
CY Total Revenue$30,184,845CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,916,584PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,537,851CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,688,357PYOtherExpensesAmt
CY Other Expenses$8,758,253CYOtherExpensesAmt
PY Total Expenses$28,604,941PYTotalExpensesAmt
CY Total Expenses$29,296,104CYTotalExpensesAmt
PY Revenues Less Expenses$4,172,806PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$888,741CYRevenuesLessExpensesAmt
Total Assets BOY$33,605,939TotalAssetsBOYAmt
Total Assets EOY$34,592,144TotalAssetsEOYAmt
Total Liabilities BOY$1,205,515TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,302,979TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$32,400,424NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,289,165NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionQueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,079,340ExpenseAmt
Revenue$24,840,402RevenueAmt
DescThe mission of QueensCare Health Centers and affiliated entities is to provide quality primary healthcare to any patient in need in the communities we serve, regardless of ability to pay. We seek to provide universal access to primary healthcare, reducing disparities in care and improving health in the communities we serve.In 1897, the Franciscan Sisters of the Sacred Heart founded an orphanage, the Society of El Hogar Feliz, for abandoned and neglected children in Los Angeles, which later became a clinic known as the Franciscan Clinic. In 1994, the Sisters transferred sponsorship of the Franciscan Clinic to the hospital it had also founded, Queen of Angels-Hollywood Presbyterian Medical Center. At the time of its sale in 1998, the hospital's four other outpatient clinics were merged into Franciscan Clinics and operated under the business name QueensCare Family Clinics. In 2003 QueensCare Family Clinics applied for and became a federally qualified health center (FQHC), requiring it to form a board of directors independent of the other QueensCare entities. As a federally qualified health center, QueensCare Health Centers is partially funded by grants from the U.S. Department of Health & Human Services, Health Resources & Services Administration and has been deemed under the Federal Tort Claims Act. QueensCare Health Centers also contracts with the County of Los Angeles to provide healthcare services to uninsured residents of Los Angeles. QueensCare Health Centers accepts Medi-Cal, Medicare and some private insurance, but treats all patients, regardless of ability to pay.QueensCare Health Centers operates five clinic locations in Los Angeles, California. A wide range of health services are provided to children, adults and elderly patients in underserved populations at these locations, including:- Adult primary care- Pediatric care- Obstetrics- Dental care- Pharmacy- Optometry- Podiatry- Chronic disease management- Care coordination- TelehealthDuring the fiscal year ended June 30, 2019, QueensCare Health Centers provided, medical, dental and vision services to approximately 24,000 patients, which accounted for more than 105,000 visits.Desc
Total Program Service Expenses$22,079,340TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee309EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dennis C BentonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3232867513PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jay Guerena
Chair2.002.00Yes (X)Yes (X)$0$3,650$0
Marina Aronoff
Vice Chair2.00Yes (X)Yes (X)$0$0$0
Yasmin Garcia
Secretary2.00Yes (X)Yes (X)$0$0$0
Martha Arias
Director2.00Yes (X)$0$0$0
Jorge Blanco
Director2.00Yes (X)$0$0$0
William Chim
Director2.00Yes (X)$0$0$0
Shirley Daniels
Director2.00Yes (X)$0$0$0
Serina Demirians
Director2.00Yes (X)$0$0$0
Jeffrey Hermann
Director2.002.00Yes (X)$0$0$0
Harry Kram MD
Director2.00Yes (X)$0$0$0
Allan Michelena
Director2.002.00Yes (X)$0$2,250$0
Jacquelyn P Pantoja
Director2.00Yes (X)$0$0$0
Mary Ramos
Director2.00Yes (X)$0$0$0
Manuel Romero
Director2.00Yes (X)$0$0$0
Matthew Wells
Director2.00Yes (X)$0$0$0
Barbara B Hines
President & CEO20.0020.00Yes (X)$189,352$188,819$38,141
John Nguyen MD end 319
Chief Medical Officer40.00Yes (X)$278,834$0$36,576
Edward Liao MD start 519
Physician/C.M.O.40.00Yes (X)$226,537$0$32,018
Eloisa Perard
CAO40.00Yes (X)$0$209,168$12,490
Chad Vargas
COO40.00Yes (X)$139,951$0$15,797
Arthur Doi
VP Accounting & Finance40.00Yes (X)$0$167,251$25,247
Maria T Lim Heya
Physician40.00$225,330$0$30,275Yes (X)
Yung Soon Ahn
Physician40.00$222,446$0$20,734Yes (X)
Craig Golden MD
Physician40.00$217,526$0$13,220Yes (X)
Hla Moe
Physician40.00$210,476$0$11,791Yes (X)
Eric Celo
Physician40.00$199,371$0$11,854Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,909,823TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$571,138TotReportableCompRltdOrgAmt
Total Other Compensation$248,143TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Quest Diagnostics Inc
PO Box 5068Los AngelesCA90074Medical Laboratories Services$455,743
University of So Cal School of Pharmacy
1985 Zonal Ave PSC 700ALos AngelesCA90089Pharmacist Services$390,883
Ryan K Lee MD
222 West Eulalia Street Suite 211GlendaleCA91204Independent Contractor$312,386
Progressive Dental Studio
1110 North Orchard DriveBurbankCA91506Dental Lab Services$118,485
Registered Dietitian Consultants
34162 Capistrano by the SeaDana PointCA92629Independent Contractor$115,925
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$3,800,032GovernmentGrantsAmt
All Other Contributions$302,004AllOtherContributionsAmt
Total Contributions$4,102,036TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621400$20,357,258$20,357,258
Q/QHC Healthcare Partners621400$4,501,279$4,501,279
FieldValueIRS element (for citing)
Total Program Service Revenue$24,858,537TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$363,300TotalRevenueColumnAmt
Exclusion$363,300ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther incomeDesc
Business621400BusinessCd
Total Revenue Column$860,972TotalRevenueColumnAmt
Exclusion$860,972ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$860,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,184,845TotalRevenueColumnAmt
Related Or Exempt Func Income$24,858,537RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,224,272ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,112,149TotalAmt
Management And General$1,112,149ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,492,547TotalAmt
Program Services$13,031,991ProgramServicesAmt
Management And General$2,460,556ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$787,997TotalAmt
Program Services$667,022ProgramServicesAmt
Management And General$120,975ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,070,340TotalAmt
Program Services$1,668,257ProgramServicesAmt
Management And General$402,083ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,074,818TotalAmt
Program Services$894,575ProgramServicesAmt
Management And General$180,243ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$33,467TotalAmt
Management And General$33,467ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$69,310TotalAmt
Management And General$69,310ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,060,541TotalAmt
Program Services$1,854,461ProgramServicesAmt
Management And General$206,080ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$65,681TotalAmt
Program Services$4,450ProgramServicesAmt
Management And General$61,231ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$369,917TotalAmt
Program Services$260,765ProgramServicesAmt
Management And General$109,152ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,312,010TotalAmt
Management And General$1,312,010ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,380,582TotalAmt
Program Services$925,311ProgramServicesAmt
Management And General$455,271ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$62,498TotalAmt
Program Services$24,128ProgramServicesAmt
Management And General$38,370ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$114,320TotalAmt
Program Services$7,372ProgramServicesAmt
Management And General$106,948ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$435,896TotalAmt
Program Services$366,056ProgramServicesAmt
Management And General$69,840ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$89,085TotalAmt
Program Services$39,726ProgramServicesAmt
Management And General$49,359ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pharmaceuticals$1,095,367$1,095,367
Purchased services$493,137$493,137
Medical/other supplies$470,213$470,213
Recuitment costs$212,801$212,801

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$493,428TotalAmt
Program Services$276,509ProgramServicesAmt
Management And General$216,919ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,296,104TotalAmt
Program Services$22,079,340ProgramServicesAmt
Management And General$7,216,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,170BOYAmt
EOY$4,320EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,088,021BOYAmt
EOY$10,364,758EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$354,999BOYAmt
EOY$328,273EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,744,804BOYAmt
EOY$6,275,399EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,974,470BOYAmt
EOY$10,974,470EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$145,077BOYAmt
EOY$87,722EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$385,613BOYAmt
EOY$225,765EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,071,229LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,508,789LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$857,613BOYAmt
EOY$562,440EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,758,164BOYAmt
EOY$6,771,399EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$706,992BOYAmt
EOY-$1,002,402EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,605,939BOYAmt
EOY$34,592,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,205,515BOYAmt
EOY$1,302,979EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,205,515BOYAmt
EOY$1,302,979EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,390,701BOYAmt
EOY$33,279,442EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,723BOYAmt
EOY$9,723EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,400,424BOYAmt
EOY$33,289,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,605,939BOYAmt
EOY$34,592,144EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$888,741ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$69,382BeginningYearBalanceAmt
Other Expenditures$59,660OtherExpendituresAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,953BeginningYearBalanceAmt
Other Expenditures$150,571OtherExpendituresAmt
End Year Balance$69,382EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,424,753OtherCostOrOtherBasisAmt
Depreciation$1,239,029DepreciationAmt
Book Value$185,724BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,646,476OtherCostOrOtherBasisAmt
Depreciation$6,269,760DepreciationAmt
Book Value$376,716BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$562,440TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCorporate BondsDesc
Book Value$6,771,399BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,771,399TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:QueensCare Health Centers ("the Centers") intends to use its endowment funds to support healthcare related activities.
Part X, Line 2:The Centers is exempt from taxation under Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701d. Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Centers in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Centers' returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Barbara B Hines
President & CEO$189,352$181,656$0$0$0$7,163$9,650$9,864$9,616$9,011$208,618$207,694$0$0
John Nguyen MD end 319
Chief Medical Officer$277,484$0$0$0$1,350$0$16,847$0$19,729$0$315,410$0$0$0
Edward Liao MD start 519
Physician/C.M.O.$226,117$0$0$0$420$0$13,857$0$18,161$0$258,555$0$0$0
Eloisa Perard
CAO$0$208,268$0$0$0$900$0$12,288$0$202$0$221,658$0$0
Chad Vargas
COO$138,722$0$0$0$1,229$0$6,457$0$9,340$0$155,748$0$0$0
Arthur Doi
VP Accounting & Finance$0$163,381$0$0$0$3,870$0$9,890$0$15,357$0$192,498$0$0
Maria T Lim Heya
Physician$224,364$0$0$0$966$0$13,527$0$16,748$0$255,605$0$0$0
Yung Soon Ahn
Physician$219,246$0$0$0$3,200$0$13,254$0$7,480$0$243,180$0$0$0
Craig Golden MD
Physician$216,560$0$0$0$966$0$12,997$0$223$0$230,746$0$0$0
Hla Moe
Physician$209,846$0$0$0$630$0$11,791$0$0$0$222,267$0$0$0
Eric Celo
Physician$197,565$0$0$0$1,806$0$11,854$0$0$0$211,225$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part II:FormAndLineReferenceDesc
ExplanationEdward Liao was promoted from Physician to Chief Medical Officer in May 2019. The compensation reported in Part II represents calendar year 2018 W-2 earnings in his capacity as a physician, prior to his promotion.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Pursuant to that certain Amended and Restated Partnership Agreement, QueensCare Health Centers and QueensCare formed Q/QHC Healthcare Partners to jointly operate five community health centers located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include supervision of medical treatments, measuring outcomes, providing day-to-day management for the operation of Q/QHC Healthcare Partners and on-site management of the Centers' personnel to include hiring, training, and discharging the Centers' personnel. Form 990, Part VII, Section A, Hours of Officers: Director Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Chairman Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as a director of QueensCare. CEO Barbara B. Hines devoted approximately 8 hours of her time per week serving as QueensCare's CEO. Director Jeffrey Hermann devoted approximately two hours of his time per week to QueensCare, serving as a director of QueensCare.
Form 990, Part VI, Section B, line 11bFollowing preparation of a final draft of the Form 990 by the organization's tax preparers, the organization's CEO and VP Accounting & Finance review, analyze and discuss the final draft to better ensure its accuracy and completeness. After the return is filed, the CEO and VP Accounting & Finance review and discuss material aspects and details of the return at the next regularly scheduled meeting of the Board of Directors.
Form 990, Part VI, Section B, line 12cThe organization's Board members, corporate officers, and staff are subject to a written conflicts of interest policy. Pursuant to that policy, each such person is required to identify any transaction with the organization in which the person has (or may have) a financial interest. If a conflict (or potential conflict) is identified, the Board, excluding any involved Board members, carefully reviews the terms of the transaction and makes a determination as to whether the transaction is fair and reasonable to the organization under all the facts and circumstances. The organization monitors and enforces compliance with this policy by: (i) discussing such issues at its annual meeting; (ii) requiring all covered persons to annually provide written certification of their compliance with the policy; and (iii) carefully reviewing all material transactions to identify potential or real conflicts.
Form 990, Part VI, Section B, line 15aA comprehensive study of most if not all positions in the organization is done every 3 to 5 years by an outside compensation consultant hired for this purpose. A Compensation Committee, comprised of independent Board members, reviews and recommends to the Board a wage scale proposed by the consultant from compensation data for similarly situated organizations. The scale includes each position, including the CEO and other top management officials. The Compensation Committee presents its findings and recommendations to the Board, and members are provided the opportunity to ask questions. A Board vote is taken to establish the new wage scale, with which each employee's compensation must comply. The wage scale is then reviewed annually by the Compensation Committee. The CEO's compensation amount is determined by the Board, based on the recommendation of the CEO Evaluation Committee comprised of independent Board members. The CEO Evaluation Committee reviews performance feedback submitted by each Board member annually. The amount of compensation paid to the CEO must comply with the wage scale established by the Compensation Committee. Deliberations of the Compensation Committee, the CEO Evaluation Committee and the Board are recorded in the organization's minute book. The compensation study was last undertaken by the Compensation Committee in April 2017. The CEO Evaluation Committee performs its review and makes its recommendations to the Board annually, typically in September.
Form 990, Part VI, Section C, line 19The organization's annual information return (Form 990) is available on a third-party website (GuideStar). The organization provides copies of its governing documents, its conflict of interest policy, as well as its three most recent Forms 990 to any interested person that makes a request for such documents.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
QueensCare
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015951644040Healthcare for the poorCA501(c)(3)Line 7St Joseph's Health Support Alliance0
QueensCare Health Centers Foundation
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015463366321Support QHC missionCA501(c)(3)Line 7QueensCare Health Centers0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1QQHC Healthcare PartnersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 S Grand Ave 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
EIN260502255EIN
Primary ActivitiesTo operate & Manage Healthcare ClinincsPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.60000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
QueensCare
C$10,467Accrual
QueensCare
O$202,800Accrual
QueensCare
P$612,061Accrual
QueensCare
Q$335,788Accrual
QueensCare Health Centers Foundation
K$215,000Accrual
QQHC Healthcare Partners
B$6,750,000Accrual
QQHC Healthcare Partners
J$4,500,000Accrual
QQHC Healthcare Partners
L$11,253,197Accrual
QueensCare Health Centers Foundation
S$98,714Accrual